Active NPI
Marcial Gomez Lewin, MD
- Neurological Surgery Physician
- Waco, TX
National Provider Identifier
1841284866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- E8035
- Practice address
- 342 Richland West Cir
Waco, TX 76712-7919 - Phone
- (254) 772-6760
- Fax
- (254) 772-1035
- NPI assigned
- Sep 6, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | E8035 | TX | Primary |
Addresses
Primary practice location
342 Richland West Cir
Waco, TX 76712-7919
Mailing address
342 Richland West Cir
Waco, TX 76712-7919
Phone (254) 772-6760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115842003 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E8035 | TX | MD | Neurological Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457308800000",
"number": "1841284866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "342 RICHLAND WEST CIR",
"city": "WACO",
"state": "TX",
"postal_code": "767127919",
"telephone_number": "254-772-6760",
"fax_number": "254-772-1035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "342 RICHLAND WEST CIR",
"city": "WACO",
"state": "TX",
"postal_code": "767127919",
"telephone_number": "254-772-6760",
"fax_number": "254-772-1035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIN",
"first_name": "MARCIAL",
"middle_name": "GOMEZ",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-06",
"last_updated": "2016-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "TX",
"license": "E8035",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115842003",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.